Individual provider Active NPI

Asha Patel Raj, DO

  • Family Medicine Physician
  • Moreno Valley, CA
National Provider Identifier
1003293507
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A15683 Issued in CA
Practice address
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone
(714) 904-8341
NPI assigned
May 4, 2015
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A15683 CA Primary

Addresses

Primary practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Mailing address

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (714) 904-8341

Other practice location 1

5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone (619) 515-2400

Other names 1

  • Asha Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180827000968 CA Practitioner - Family Practice 5294084166 Reassigns benefits to 3 organizations
I20251001000183 DC Practitioner - Family Practice 5294084166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hardison Medical CorporationGroup PAC ID 1456604339, 13 clinicians

Practice addresses (Care Compare)

142 Encinitas Blvd
Encinitas, CA 92024-3657
Phone (760) 230-1888

2800 S Shirlington Rd
Suite 600
Arlington, VA 22206-3608
Phone (703) 717-4245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
15683CAMDChiropractor
20A15683CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Jul 24, 2018 Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Jul 24, 2018 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Sep 11, 2025 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 24, 2018 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Healthtap Medical Group, P.C. CurrentSince Jun 18, 2023 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Sep 11, 2025 Accepting new patients

Locations

251 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2500

352 L St
Chula Vista, CA 91911
Phone (619) 515-2325

2465 Latham St
Ste 300
Mountain View, CA 94040
Phone (650) 268-9806

Dept LA 25281
Pasadena, CA 91185

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

2800 S Shirlington Rd
Ste 600
Arlington, VA 22206
Phone (703) 558-8133

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1003293507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "714-904-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "714-904-8341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5454 El Cajon Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921153621",
            "country_code": "US",
            "telephone_number": "619-515-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJ",
        "first_name": "ASHA",
        "middle_name": "PATEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A15683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHA",
            "last_name": "PATEL",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.